Scientific research, including a Cochrane Review by Dumoulin et al. from 2018 that reviewed the information in 31 research trials, concludes there is grade A or high-quality evidence to support the use of pelvic floor muscle training to treat stress urinary incontinence or the urinary leaking that occurs with cough or a sneeze. There is...
A radical prostatectomy is a common treatment option for prostate cancer in which the prostate is surgically removed. It is well known that following catheter removal after surgery, many men will experience moderate to significant amounts of involuntary urinary loss following surgery that can last from weeks to years. Hunter et al. in 2004 wrote...
In our active Boulder County community, we have observed an increase in the number of women participating in high intensity exercise such as CrossFit. The topic of pelvic health and CrossFit has been under discussion in recent years, prompted by reports of competitive female athletes experiencing urine loss due to stress urinary incontinence during CrossFit...
A perineal tear is a tear in the skin or muscle between the vaginal opening and anus that commonly occurs during a vaginal delivery. It is estimated that 85% of women who give birth vaginally will experience a perineal tear to some degree (Smith et al. 2013). Just like other muscle tears in the body,...
After talking to many midwives and doulas around Boulder Country and listening to patients’ birth stories, it is clear to me that every labor and delivery is different. No two births are completely alike. While there are some aspects of labor and delivery that you cannot control, here is a list of things you can...
If you’ve ever experienced the sharp, nagging discomfort of tailbone pain, you know how it can overshadow even the simplest daily activities. From sitting at your desk at work to walking up and down the aisles at the grocery store, every movement can be a reminder of the pain. Thankfully, there are steps you can...
Many clients I work with, particularly in the greater Boulder Area who are active and fit prior to pregnancy, want to know what types of exercise and intensity is appropriate to continue during pregnancy. First, it is always important to check with your OB/Midwife to make sure you are safe to continue or change your...
Do you experience urinary leaking with jumping jacks, double-unders, box jumps or while jumping on the trampoline? Maybe you’re avoiding jumping altogether for fear of leaking or pelvic heaviness. Jumping is a great exercise as it helps build muscle strength and power, while challenging the cardiovascular system. It requires coordination, agility, and can be beneficial...
6 Ways to Reduce Urge Related Urinary Incontinence By Berrin Boyce, PT, DPT, PRPC Urinary urge incontinence or leaking with a strong sense of urge is estimated to impact 20-30% of women. In clinical practice I frequently work with patients of all genders and ages who experience urge related incontinence that interferes with work, school,...
How The Use of Forceps During Delivery Impacts Urinary Incontinence in the Postpartum Period By Berrin Boyce As a pelvic floor PT working in Boulder with many people during their pregnancies I often hear the question: “What can I do to decrease the risk of developing urinary incontinence or pelvic floor issues after delivery?” I...
